Prenatal anxiety and obstetric decisions among pregnant women in Wuhan and Chongqing during the COVID-19 outbreak: a cross-sectional study.
BJOG
; 127(10): 1229-1240, 2020 09.
Article
in English
| MEDLINE | ID: covidwho-614342
ABSTRACT
OBJECTIVES:
To investigate the mental status of pregnant women and to determine their obstetric decisions during the COVID-19 outbreak.DESIGN:
Cross-sectional study.SETTING:
Two cities in China--Wuhan (epicentre) and Chongqing (a less affected city). POPULATION A total of 1947 pregnant women.METHODS:
We collected demographic, pregnancy and epidemic information from our pregnant subjects, along with their attitudes towards COVID-19 (using a self-constructed five-point scale). The Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Obstetric decision-making was also evaluated. The differences between cities in all of the above factors were compared and the factors that influenced anxiety levels were identified by multivariable analysis. MAIN OUTCOMEMEASURES:
Anxiety status and its influencing factors. Obstetric decision-making.RESULTS:
Differences were observed between cities in some background characteristics and women's attitudes towards COVID-19 in Wuhan were more extreme. More women in Wuhan felt anxious (24.5 versus 10.4%). Factors that influenced anxiety also included household income, subjective symptom and attitudes. Overall, obstetric decisions also revealed city-based differences; these decisions mainly concerned hospital preference, time of prenatal care or delivery, mode of delivery and infant feeding.CONCLUSIONS:
The outbreak aggravated prenatal anxiety and the associated factors could be targets for psychological care. In parallel, key obstetric decision-making changed, emphasising the need for pertinent professional advice. Special support is essential for pregnant mothers during epidemics. TWEETABLE ABSTRACT The COVID-19 outbreak increased pregnant women's anxiety and affected their decision-making.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Anxiety
/
Pneumonia, Viral
/
Pregnancy Complications
/
Prenatal Care
/
Coronavirus Infections
/
Delivery, Obstetric
/
Pregnant Women
/
Pandemics
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
Asia
Language:
English
Journal:
BJOG
Journal subject:
Gynecology
/
Obstetrics
Year:
2020
Document Type:
Article
Affiliation country:
1471-0528.16381
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